Mary Jo Sprouse, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT - 000849 Issued in KY

Practice address

10456 US Highway 62
Calvert City, KY 42029-9020

Phone

(270) 898-6240

NPI assigned

Jun 30, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1336301464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 IVEY RD",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420255347",
            "telephone_number": "270-527-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10456 US HIGHWAY 62",
            "city": "CALVERT CITY",
            "state": "KY",
            "postal_code": "420299020",
            "telephone_number": "270-898-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "MARY JO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "KY",
            "license": "PT - 000849",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IN",
            "license": "05009431A",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT001024E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Ryan Quint, D.C.
• Richard I. Cocke Jr., P.S.C.
• Alison Nicole Roberts, M.S. CCC-SLP
• William Ross
• Gary Webster Smith, DMD
• Sprout Pediatric Therapy
• Michele Christine Stariwat, COTA/L
• Scott C Stephenson
• Jenny Sanderson Story, MSCCCSLP
• Rita Tabor

• Geriatric Physical Therapist in Calvert City, KY
• Providers in Calvert City, KY by specialty
• Geriatric Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.